Wednesday, February 13, 2008

Weekly Evaluation: Medical Rotation

This week was a full of firsts for me. It was my first time to have ever go on duty at Madonna & Child Hospital and it was my first time to have been under my current clinical instructor and practicing clinical instructors for this rotation.

Although everything was new to me, I was able to adapt and carry out my nursing responsibilities. I was also blessed to have been assigned such wonderful patients who were very cooperative and very welcoming. I really did not feel awkward as I stayed in their rooms for the whole day as their student nurse. I was also quite glad that I didn't have to chart any nurse's notes (because it takes so much time, not to mention effort ^_^) and all that was required of us was a sample nurse's notes.

For this week I had two patients. A 6 day old baby girl with septicemia neonatorum and a 51 year old woman with pneumonia. I am glad that they are not that toxic and that they are already getting well.

For both case, it is important to note the presence of a bacterial infection. So basically the medications that I have administered had a common factor, which of course is being an antibacterial medication.

The baby girl had to have continuous phototherapy because she had jaundice caused by hyperbilirubinemia. I of course had to protect the eyes by securing an eye shield. I'm glad that the baby's vital signs were all normal during my shift. I am very edgy when I am with babies (especially newborns) because they are so delicate and one false move from me like failing to regulate the IVF properly could cause serious complications like hypervolemia and cardiac overload.

For my patient with pneumonia, I made sure to position her in a moderate high back rest to promote proper lung expansion and I taught her deep breathing and did chest physiotherapy after nebulization to promote removal of secretions.

So all in all this week was a very productive week for me. To add to my enjoyment is the fact that I wasn't late for this week of duty! Yeay me! I made sure to have set my clock at least 1 hour before the pre-conference and I agreed to carpool with my dutymates so that I would have more reasons to wake up early. ^_^

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